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• W2410004010 abstract "I am writing this letter in reference to the technical note by Daniel K. H. Yip et al., entitled “How to Use Cuff Suture Instruments: The Concept of Concave In and Concave Out,” which was published in the July-August 2004 issue of Arthroscopy.1Yip D.K.H. Wong J.W.K. Kong J.K.F. How to use cuff suture instruments The concept of concave in and concave out.”.Arthroscopy. 2004; 20: 100-102Abstract Full Text Full Text PDF PubMed Scopus (2) Google Scholar The authors quite rightly emphasize the importance of correct suture loading and unloading of suture passers so as to avoid trapping the suture passer between anchor and tissue. They advocate the concept of concave in and concave out because they feel it is easier to grab the suture from the concave side and as a way of avoiding miscommunication between surgeon and assistant. I fully agree with this. Unfortunately their illustrations show the exact opposite: a “convex in and convex out” method of loading and unloading a suture passer! How to use cuff suture instruments: the concept of “concave in and concave out”ArthroscopyVol. 20PreviewArthroscopic reconstructive surgery of the shoulder is extremely demanding. The advent of suture anchors and knot-tying instruments has greatly facilitated its development. Knowledge of the anatomy and surgical principles alone is not enough. Familiarity with specific instruments is also important. We describe our experience with the Elite Cuff Stitch Suture Relay (Smith & Nephew, London, U.K.). We describe a new concept on how to use this suture passer or similar instrument. We advocate this new concept of “concave in and concave out.” Full-Text PDF Author’s ReplyArthroscopyVol. 22Issue 4PreviewThank you for pointing out the error in our illustrations. These were simulated in the photo lab and we have in fact simulated the situation of “convex in and convex out” rather than “concave in and concave out” as intended. The error probably took place in preparing for Figure 2, when the free end of the suture was mistakenly extended on the convex side, i.e., side A should have been the longer side and not the shorter side. Full-Text PDF" @default.
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• W2410004010 title "Letter to the Editor" @default.
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• W2410004010 doi "https://doi.org/10.1016/j.arthro.2005.12.052" @default.
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